刘俊良;吴勐;滕云升;张朝;张永强;陶胜林;杨亚龙;李阳;刘瑾彤;王梦君;

• 1:兵器工业五二一医院

摘要(Abstract)：

[目的]介绍关节镜下松解非痉挛性腓肠肌挛缩的手术技术与初步临床结果。[方法] 2014年6月～2018年6月,在关节镜下对17例(19足)非痉挛性腓肠肌挛缩患者进行镜下腓肠肌腱膜松解。于腓肠肌肌腹最远端,采用内侧、中间入路置入关节镜与器械,切断腓肠肌腱膜。[结果] 17例(19足)患者均顺利完成手术,无严重并发症。随访时间14个月以上,术前与术后3个月相比踝关节背伸平均增加14°,差异有统计学意义(P<0.05);术前与末次随访相比,踝关节背伸平均增加约12°,差异有统计学意义(P<0.05)。[结论]内镜下松解非痉挛性腓肠肌挛缩术后踝关节背伸角度改善满意,切口微创、美观,术后并发症少。

关键词(KeyWords)： 腓肠肌挛缩;关节镜;松解术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘俊良;吴勐;滕云升;张朝;张永强;陶胜林;杨亚龙;李阳;刘瑾彤;王梦君;

Email:

DOI:

参考文献(References)：

• [1]Digiovanni CW,Kuo R,Tejwani N,et al.Isolated gastrocnemius tightness[J].J Bone Joint Surg Am,2002,84-A(6):962.
• [2]Silver CM,Simon SD.Gastrocnemius muscle recession(Silfverskiold operation) for spastic equinus in cerebral palsy[J].J Bone Joint Surg,1959,41-A(6):1021-1028.
• [3]张世民.腓肠肌腱膜切断回缩术[J].中国矫形外科杂志,2018,25(9):768-770.
• [4]Garrow A.The cheshire foot pain and disability survey:a population survey assessing prevalence and associations[J].Pain,2004,110(1-2):378-384.
• [5]Digiovanni BF,Moore AM,Zlotnicki JP,et al.Preferred management of recalcitrant plantar fasciitis among orthopaedic foot and ankle surgeons[J].Foot Ankle Int,2012,33(6):507-512.
• [6]Baumbach SF,Polzer H.Letter to the editor on“Gastrocnemius recession for foot and ankle conditions in adults:evidence-based recommendations”[J].Foot Ankle Surg,2015,21(3):224-225.
• [7]Symeonidis P.The silfverski?ld test[J].Foot Ankle Int,2014,35(8):838.
• [8]Armstrong,David G,Stacpooleshea,et al.Lengthening of the achilles tendon in diabetic patients who are at high risk for ulceration of the foot[J].J Bone Joint Surg Am,1999,81(4):535.
• [9]Phisitku P.Endoscopic gastrocnemius recession for the treatment of isolated gastrocnemius contracture:a prospective study on 320consecutive patients[J].Foot Ankle Int,2014,35(8):747-756.
• [10]Lavery LA,Armstrong DG,Boulton AJM.Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus[J].J Am Podiatric Med Assoc,2002,92(9):479-82.
• [11]Trevino SG,Vallurupalli S.Endoscopic gastrocnemius recession[J].Tech Foot Ankle Surg,2008,18(4):259-264.
• [12]Phisitkul P,Barg A,Amendola A.Endoscopic recession of the gastrocnemius tendon[J].Foot Ankle Int,2017,38(4):457-464.
• [13]Saxena A,Widtfeldt A.Endoscopic gastrocnemius recession:preliminary report on 18 cases[J].J Foot Ankle Surg,2004,43(5):302-306.
• [14]Lui,Hing T.Modified Endoscopic Release of Gastrocnemius Aponeurosis[J].J Foot Ankle Surg,2015,54(1):140-142.
• [15]Schroeder SM.Uniportal endoscopic gastrocnemius recession for treatment of gastrocnemius equinus with a dedicated EGR system with retractable blade[J].J Foot Ankle Surg,2012,51(6):714-719.
• [16]Stephen J,Sangeorzan,Bruce J,et al.Surgical anatomy of the gastrocnemius recession(strayer procedure)[J].Foot Ankle Int,2004,25(4):247-250.